The Board, pursuant to 42 U.S.C. § 7384q, advised the Secretary to designate the
class as an addition to the SEC ina letter received by the Secretary on August 15,
2007.

IV. Designation Findings

Feasibility of Estimating Radiation Doses with Sufficient Accuracy

The Secretary established the feasibility determination for the class of employees
covered by this report based upon the findings summarized below.

(1) NIOSH did not identify internal, external, or air data that was collected related
to members of the proposed SEC class or their immediate work environments.

(2) Operations involved with the renovation and remediation of thorium production
areas of Wilhelm Hall would have resulted in alpha, beta, and gamma radiation
exposures to workers in the proposed class. As time passed, photon exposure
rates would also have increased with the in-growth of radium-228. Exposures
could have resulted from a combination of workers being in close proximity to
contamination and the resuspension of contaminated particles that had settled
inside ventilation ducts, exhaust hoods, fans, and on building surfaces (e.g.,
ceiling tiles, walls) that the workers were renovating.

(3) No internal monitoring data collected from members of the proposed SEC class
or applicable for use in dose reconstruction for members of the proposed class
have been identified. NIOSH has not located any air monitoring data (general
process or breathing zone) that were collected during, or representative of, the
work performed by the proposed class.

(4) NIOSH concluded that internal, source, and air monitoring data are insufficient
for estimating internal doses with sufficient accuracy for members of the
proposed class. The Board concurred with the NIOSH evaluation and
recommended the proposed class for addition to the SEC.

(5) Pursuant to 42 C.F.R. § 83.13(c)(1), NIOSH determined that there is insufficient
information either to estimate the maximum radiation dose for every type of
cancer for which radiation doses are reconstructed that could have been incurred
under plausible circumstances by any member of the class, or to estimate the
radiation doses of members of the class more precisely than a maximum dose
estimate.

(6) Although NIOSH found that it is not possible to completely reconstruct radiation
doses for these employees, NIOSH determined that it is possible to reconstruct
components of the internal dose (other than thorium and its progeny) and all
external dose. Therefore, individuals with non-presumptive cancers may be
considered for partial dose reconstructions.

HHS Special Exposure Cohort Designation:
Ames Laboratory


I. Designation

I, Michael O. Leavitt, Secretary of Health and Human Services (Secretary), designate
the class of employees defined in Section II of this report for addition to the Special
Exposure Cohort (SEC), as authorized under the Energy Employees Occupational
Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. § 7384q.

SEP 1 2 2007 se
\
Date Michael O. Leavitt

Ii. Employee Class Definition

Sheet metal workers, physical plant maintenance and associated support staff
(including all maintenance shop personnel), and supervisory staff who were
monitored or should have been monitored for potential internal radiation exposures
associated with the maintenance and renovation activities of the thorium production
areas in Wilhelm Hall (a.k.a. the Metallurgy Building or “Old” Metallurgy
Building) at the Ames Laboratory from January 1, 1955, through December 31,
1970, for a number of work days aggregating at least 250 work days or in
combination with work days within the parameters established for one or more other
classes of employees in the Special Exposure Cohort.

Ill. | Designation Criteria and Recommendations

Pursuant to 42 U.S.C. § 7384q, for the class defined in Section II of this report, the
Secretary has determined, and the Advisory Board on Radiation and Worker Health
(Board) has recommended, that
(1) it is not feasible to estimate with sufficient accuracy the radiation dose that the
class received; and
(2) there is a reasonable likelihood that such radiation dose may have endangered
the health of members of the class.

The SEC final rule states in 42 C.F.R. § 83.13(c)(1) that it is feasible in two situations
to estimate the radiation dose that the class received with sufficient accuracy. First,
the rule states that radiation doses may be estimated with sufficient accuracy if
NIOSH has established that it has access to sufficient information to estimate the
maximum radiation dose for every type of cancer for which radiation doses are
reconstructed that could have been incurred under plausible circumstances by any
member of the class. Alternatively, radiation doses may be estimated with sufficient
accuracy if NIOSH has established that it has access to sufficient information to
estimate the radiation doses of members of the class more precisely than a maximum
dose estimate.

HHS Special Exposure Cohort Designation:
Ames Laboratory


Health Endangerment

The Secretary established the health endangerment determination for the class of
employees covered by this report based upon the findings summarized below.

(1) Pursuant to 42 C.F.R. § 83.13(c)(3), NIOSH established that there is a reasonable
likelihood that such radiation doses may have endangered the health of members
of the class. Pursuant to 42 C.F.R. § 83.13(c)(3)(ii), NIOSH specified a minimum
duration of employment to satisfy this health endangerment criterion as “having
been employed for a number of work days aggregating at least 250 work days
within the parameters established for this class or in combination with work days
within the parameters (excluding aggregate work day requirements) established
for one or more other classes of employees in the Cohort.”

(2) NIOSH did not identify any evidence from the petitioners or from other resources
that would establish that the class was exposed to radiation during a discrete
incident likely to have involved exceptionally high-level exposures, such as a
nuclear criticality incident, as defined under 42 C.F.R. § 83.13(c)(3)(i).

(3) The Board concurred with the finding of NIOSH that the health of the class may
have been endangered and defined the class according to the 250-workday
requirement specified under 42 C.F.R. § 83.13(c)(3)(ii).

V. Effect and Effective Date of Designation

The Secretary submits this report on the designation of one additional class to the
SEC for review by Congress, pursuant to 42 U.S.C. §§ 7384/(14)(C)(ii) and
7384q(c)(2)(A), as amended by the Ronald W. Reagan National Defense
Authorization Act for Fiscal Year 2005, Pub. L. No. 108-375 (codified as amended in
scattered sections of 42 U.S.C.). Pursuant to 42 U.S.C. § 7384/(14)(C)(ii), as
amended by the Ronald W. Reagan National Defense Authorization Act for Fiscal
Year 2005, Pub. L. No. 108-375 (codified as amended in scattered sections of 42
U.S.C.), the designation in this report will become effective 30 days after the date of
this report’s submission to Congress “unless Congress otherwise provides.”

VI. Administrative Review of Designation

The health endangerment determination of the designation provided in this report
may be subject to an administrative review within HHS, pursuant to 42 C.F.R. §
83.18(a). On the basis of such a review, if the Secretary decides to expand the class
of employees covered by this designation, the Secretary would transmit a
supplementary report to Congress providing the expanded employee class definition
and the criteria and findings on which the decision was based.

HHS Special Exposure Cohort Designation:
Ames Laboratory


THE SECRETARY OF HEALTH AND HUMAN SERVICES
WASHINGTON, D.C. 20201

SEP 1 22007

The Honorable Richard Cheney
President of the United States Senate
Washington, D.C. 20510

Dear Mr. President:

Pursuant to the Energy Employees Occupational IIIness Compensation Program Act of
2000 and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Ames Laboratory
in Ames, Iowa, to be added to the Special Exposure Cohort (SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for
Occupational Safety and Health (NIOSH) evaluated the petition and presented its findings to the
Advisory Board on Radiation and Worker Health (Board). The Board finished its consideration
of the petition on July 18, 2007, and on August 15, 2007, I received the Board’s recommendation
concerning this petition. I have also received the deliberations, findings, and recommendations
of the Director of NIOSH and the Director of CDC. I have designated the following class for
addition to the SEC:

Sheet metal workers, physical plant maintenance and associated support staff (including
all maintenance shop personnel), and supervisory staff who were monitored or should
have been monitored for potential internal radiation exposures associated with the
maintenance and renovation activities of the thorium production areas in Wilhelm Hall
(a.k.a. the Metallurgy Building or “Old” Metallurgy Building) at the Ames Laboratory
from January 1, 1955, through December 31, 1970, for a number of work days
aggregating at least 250 work days or in combination with work days within the
parameters established for one or more other classes of employees in the Special
Exposure Cohort.

The criteria and findings upon which this designation is based are provided in the enclosed
report.

Please call me if you have any further questions regarding this matter.

Sincerely,

Michael O. Leavitt

Enclosure


THE SECRETARY OF HEALTH AND HUMAN SERVICES
WASHINGTON, D.C. 20201

SEP 1 2 2007

The Honorable Nancy Pelosi
Speaker of the House of Representatives
Washington, D.C. 20515

Dear Madam Speaker:

Pursuant to the Energy Employees Occupational IlIness Compensation Program Act of
2000 and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Ames Laboratory
in Ames, Iowa, to be added to the Special Exposure Cohort (SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for
Occupational Safety and Health (NIOSH) evaluated the petition and presented its findings to the
Advisory Board on Radiation and Worker Health (Board). The Board finished its consideration
of the petition on July 18, 2007, and on August 15, 2007, I received the Board’s recommendation
concerning this petition. I have also received the deliberations, findings, and recommendations
of the Director of NIOSH and the Director of CDC. I have designated the following class for
addition to the SEC:

Sheet metal workers, physical plant maintenance and associated support staff (including
all maintenance shop personnel), and supervisory staff who were monitored or should
have been monitored for potential internal radiation exposures associated with the
maintenance and renovation activities of the thorium production areas in Wilhelm Hall
(a.k.a. the Metallurgy Building or “Old” Metallurgy Building) at the Ames Laboratory
from January 1, 1955, through December 31, 1970, for a number of work days
aggregating at least 250 work days or in combination with work days within the
parameters established for one or more other classes of employees in the Special
Exposure Cohort.

The criteria and findings upon which this designation is based are provided in the enclosed
report.

Please call me if you have any further questions regarding this matter.

Sincerely,

Michael O. Leavitt

Enclosure


HHS Designation of Additional Members of the

Special Exposure Cohort
under the
Energy Employees Occupational Illness Compensation Program Act of 2000

Designating a Class of Employees from

Ames Laboratory
Ames, Iowa

HHS Special Exposure Cohort Designation:
Ames Laboratory